I have two main purposes in developing this blog. I am a psychotherapist and am trying to reach out to folks who want to solve problems in real ways. Thinking together and feeling together with a person who cares can make all the difference in the world. . I also want to provide a place for discussing ideas about some of the ways our minds work, which I think can help people work on the struggles in their lives

THERAPY

Some of the goals of therapy

To find ways to love and accept love

How to stop getting stuck in feeling bad about yourself

To create a fuller and happier life

To find ways out of helplessness and the feelings of being overwhelmed

To find a way out of the unnecessary pains, sadness, and losses in our lives

Thursday, July 12, 2012

When someone hears this declaration directed at his/her self, initially he/she will feel confused, misunderstood, and/or shamed. The person asserting the "you're too sensitive", is trying to erase what the accused is pointing at - the messages the other may have been sending. Usually, the person trying to erase is trying to cut off dialogue, to stall an inquiry into the possible messages being sent. Often, this scenario takes place in childhood. A major consequence of this kind of scenario is for the child to turn away from using his/her mind to articulate the complexities of human interaction and process. Often this will mean the child will give up trying to understand what his/her tears are saying. Yet, unconsciously the person often continues to sense meanings implicit in their interactions with others. He/she is then left in a kind of haze and fog about the "real" and "fantasy".

THE THERAPY PROCESS

Therapy is about talking, thinking, feeling and caring. In essence therapy is an inquiry into experience; yet, it is much more. It is about folks deciding to solve the real problems in their lives so it is about courage and love.
Therapy consists of the participants creating a special kind of dialogue. The therapist asks the patient (or client) what hurts, what isn't working, what happened as a starting point. The patient begins to try to speak to the question. Sometimes he/she is clear about a specific fear or hurt or frustration, sometimes he/she is describing more a feeling or mood of despair and helplessness. These beginning answers are rooted in things we have "learned" growing up and painful experiences we have suffered along the way. Just like how the small child learns not to touch the hot plate, we learn to avoid painful "things". Learning guided by avoidance and fear and shame is the most ineffective way to learn; this kind of learning handicaps us in creating a decent life. These handicaps especially get in the way in creating realistic, loving relationships.
So what does this "special kind of dialogue" sound and look like? The client often talks about "what I felt", "what I did", "what I thought", "what I said or expressed", and usually "what the other did" and "what the other said or expressed". These words are guided by the "I", the conscious self. Some New Things need to be added to this dialogue for growth to occur because guidance by the conscious "I" has lead to the problems.
How to get something new added to the dialogue becomes the framework for the therapy.
First, for "I" to consider something outside of "my"own thoughts requires the "I" to feel safe.
Second, the "I" has to find a way to accept at least tentatively, that there is "more" to me than my conscious, focused self. And that the arrival of non-intended thoughts, memories, images, and feelings are important to share with the therapist.
So, what does the therapist do to create this special dialogue.
The therapist asks the patient to give voice to additional thoughts and feelings that are in the background or that arrive without having searched for them or intended them consciously.
The therapist must listen and absorb what the client is expressing.
Sometimes the therapist can facilitate the patient's communicating by asking questions such as "what was in your mind when you said that?"
The therapist via empathy opens himself up to the kinds of interactions the patient is communicating.
This empathy generates an internal presentation of experiences from the therapist's own life (these allow the therapist to "get" what the patient is describing) and also the arrival of prior articulations by the client (as the patient and therapist get to know each other these "arrivals" help to link things together to provide a sharper and better picture of the problem).
The dialogue will begin to be organized by the client's unintended thoughts, feelings, images, memories, and sensations; and a sensitive sharing by the therapist of his/her empathic responses to these.
Out of this inquiry into experience, the client begins to see and feel how he/she interprets the world, feels the wishes and yearnings present in the background, senses the presence and the absences of needs, and feels the propulsive forces effecting his/her choices.
Through the creation of this kind of talking together, the patient gains new ways of feeling and thinking and the opportunity of choosing a different life.

A Framework for talking about the Workings of the Mind

Each of us looks out upon the world. We are centers of experience. Our "I" and "me" bring together perceptions, sensations, auditory and visual images, memories, feelings, associations and the self definitions others put out to us about who we are. The "I" and "me" are the core referents of the self . Our whole "Being" surrounds, carries, and bears the self. So our whole being is more than our conscious self. In a way this blog is an attempt to talk about the relationships between Self and Being and Actuality.

Medications

Since the 80's and especially in the 21 century, psychiatry and the the medical community have emphasized that psychological disturbance and pain are to be approached from the point of view of juggling the brain chemistry of the individual to get it to function "better". Although there is some merit in accepting that the brain's chemical functioning is somehow related to experience, as a psychotherapist I find it very inadequate and often misleading.

I will try to outline my criticism of the medical model of treatment in developing this blog.

Initially though, the reader may find value in an article written by Marcia Angell in the New York Review of Books. She has a two part article called "The Illusions of Psychiatry" see: http://www.nybooks.com/issues/2011/jul/14/